Clinical Analyst (Licensed Physical Therapist)

Job Description

• Clinical Oversight:
• Confirming attendance of initial evaluation (IE) and receipt of IE Report
• Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength measurements
• Initiates review for requested service upon referral
• Review types include Continued Authorization and Internal Clinical Reviews
• Obtains, compiles, proofs and processes information received from providers/adjusters to aid in the final determination of a clinical reviewer.
• Reviews all assigned cases to provide efficient, cost-effective and quality utilization review services.
• Teleservices:
• Opens new Telerehab cases in the system and participates in scheduling injured workers for Telerehab
• Manages phone calls coming into department through the Telerehab Queue (internal and external calls)
• Monitors and handles Telerehab inbox including email, voicemail and fax communications for Teleservices team
• Participates in processing continued authorization for Telerehab cases including communication with physician offices and adjusters
• Handles other Teleservices duties as assigned

• Overall Duties:
• Documents all pertinent clinical patient/case information and actions into the case notes.
• Complies with all established policies and procedures
• Assists manager and team in quality improvement projects to provide instructive feedback to practitioners within scope
• Attends meetings and trainings.
• Meets quality management standards.
• Performs activities within the scope of professional licensure.
• Completes other duties and projects as assigned.

• Must hold a current Philippines Physical Therapy License
• Experience: 2-3 years of outpatient hospital clinic setting strongly preferred
• Knowledgeable of current physical medicine treatments
• Excellent verbal and written communication skills
• Organizational skills, prioritization, problem-solving and decision making skills are required
• Ability to multi-task in a fast paced environment
• Must be computer literate and be able to use the keyboard accurately. Experience with Microsoft Office and Zoom app are desired.
• Strong analytical and interpersonal skills are also required.
• Not required, but desired: current US Physical Therapy license and/or Doctor of Physical Therapy degree
• Experience in utilization review, case management, quality improvement and/or managed care is desired

For interested applicants, please apply directly on our Career Center Page

Career link: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=f139a240-55be-4f9c-8b7e-f3b1668371c2&ccId=19000101_000001&jobId=591296&lang=en_US